GIDDENS, concepts for nursing practice
ch40
3 attributes of clinical judgement - ANS-•holistic view of the patient situation
•process orientation
•reasoning and interpretation
\4 Factors that influence noticing - ANS-- Intrapersonal characteristics of the Nurse: ethics,
trustworthiness, maturity, skills
- Theoretical and experimental knowledge of the nurse: novice, expert
- knowing the patient: patient's pattern of responses, knowing as a person, preferences, and
desires.
- context or environment of care: setting in which a nurse interacts with pt, unique aspects of
nursing practice/ pt care needs in a given setting.
\5 exemplars of clinical judgement - ANS-Clinical skills
Eg. Selection of appropriate dressing.
Urgent/emergent situations
Eg. Early recognition of anaphylaxis
Communication
Eg. Advocacy for pt at care coordination conference
Medication management
Eg. Selection of dose when a range is ordered
Management of care and nursing leadership
Eg. Delegation to nursing personnel, calling a doctor, prioritize care, decision about pt care.
\Clinical judgement (think like a nurse) - ANS-It is an interpretation or conclusion about a pt's
needs, concerns, or health problems, and/or the decision to take action (or not), use or
modify standard approaches, or improvise new ones as deemed appropriate by the pt's
response. (Diagnosis)
\Clinical judgement and 7 interrelated concepts - ANS-Safety
Leadership
Care coordination
Professional identity
Patient education
Evidence
Health care quality
\Clinical reasoning - ANS-Is the thinking process by which a nurse reaches a clinical
judgement, an interactive process of noticing, interpreting, and responding to patient's need.
(Assessment)
ch40
3 attributes of clinical judgement - ANS-•holistic view of the patient situation
•process orientation
•reasoning and interpretation
\4 Factors that influence noticing - ANS-- Intrapersonal characteristics of the Nurse: ethics,
trustworthiness, maturity, skills
- Theoretical and experimental knowledge of the nurse: novice, expert
- knowing the patient: patient's pattern of responses, knowing as a person, preferences, and
desires.
- context or environment of care: setting in which a nurse interacts with pt, unique aspects of
nursing practice/ pt care needs in a given setting.
\5 exemplars of clinical judgement - ANS-Clinical skills
Eg. Selection of appropriate dressing.
Urgent/emergent situations
Eg. Early recognition of anaphylaxis
Communication
Eg. Advocacy for pt at care coordination conference
Medication management
Eg. Selection of dose when a range is ordered
Management of care and nursing leadership
Eg. Delegation to nursing personnel, calling a doctor, prioritize care, decision about pt care.
\Clinical judgement (think like a nurse) - ANS-It is an interpretation or conclusion about a pt's
needs, concerns, or health problems, and/or the decision to take action (or not), use or
modify standard approaches, or improvise new ones as deemed appropriate by the pt's
response. (Diagnosis)
\Clinical judgement and 7 interrelated concepts - ANS-Safety
Leadership
Care coordination
Professional identity
Patient education
Evidence
Health care quality
\Clinical reasoning - ANS-Is the thinking process by which a nurse reaches a clinical
judgement, an interactive process of noticing, interpreting, and responding to patient's need.
(Assessment)
